Active NPI
Mollie Whitelaw, MA LLP
- Psychologist
- Novi, MI
National Provider Identifier
1295249589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301007713
- Practice address
- 43155 Main St Ste H
Novi, MI 48375-1777 - Phone
- (734) 386-6527
- NPI assigned
- Nov 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301007713 | MI | Primary |
Addresses
Primary practice location
43155 Main St Ste H
Novi, MI 48375-1777
Mailing address
1717 Vinsetta Blvd
Royal Oak, MI 48067-1073
Phone (248) 470-3167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301007713 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicole Reynolds PSYD LLC | Past | Accepting new patients | |
| Stephanie Williams, PHD, LP, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Plymouth, MI
- NPI 1316306418
-
- Clinical Psychologist
- Ferndale, MI
- NPI 1740512979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511308800000",
"number": "1295249589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 VINSETTA BLVD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671073",
"telephone_number": "248-470-3167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43155 MAIN ST STE H",
"city": "NOVI",
"state": "MI",
"postal_code": "483751777",
"telephone_number": "734-386-6527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITELAW",
"first_name": "MOLLIE",
"credential": "MA LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-22",
"last_updated": "2017-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301007713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.